ENGLISH FOR ENGLISH FOR SPECIAL PURPOSES (7)SPECIAL PURPOSES (7)

SHOULD WE RATION HEALTH CARE 

FOR OLDER PEOPLE?P. 195-P.197

OUTLINE (ACTIVITIES FOR TODAY)

1. reminders2. supplementary/ extras3. keywords and key concepts

4. Thematic analysis 5. Homework112/04/19 2011--Alice Y. Chang 2

REMINDERS第八周上課聽演講

Kerr柯昱全 4/15 (Wednesday) 18:00~19:30 滾出台灣 - 玩出國際觀

從化學系到休閒運動管理研究所，從春吶表演到青年旅館的老闆， Kerr的人生似乎從來沒有極限。若你對海外工作、背包客旅行甚至民宿經營感興趣，千萬不要錯過 Kerr高手在民間的經歷分享！歡迎想挑戰自我，尋找人生定位的每一個你，到場感受 Kerr的熱情與活力，享受一場 360度的多元講座！

REMINDER (2)2015-04-21 ( 二 )

Three-minute speechTopic

Should families provide their own 

senior health care?

REMINDER (3)ORAL REPORTS: 2015-05-19 TO 2015-

06-16

• Five groups• More information: • http://memo.cgu.edu.tw/yu-yen/2015-ESP.htm

REMINDER (4)2015-05-05 ( 二 ) MID-TERM EXAM

• p.41-42• p.81-83• p.122-125• p.195-197• p.229-234• ____________• Word definition (20%); multiple choice (30%);

reading comprehension (20%); a short essay (30%)

2. WEEKLY QUOTES

2. EXTRA (2):

https://tw.voicetube.com/videos/22668?ref=music

Let It Go

3. KEY WORDS AND KEY CONCEPTS

•Ethics, bioethics, ethicists•Rationing, allocation of scare resources, distributive justice•Waste avoidance• cost containment•Fidelity, deliberate fraud •Medical futility•Professionalism

THIRD RAIL OF POLITICS

• The third rail of a nation's politics is a metaphor for any issue so controversial that it is "charged" and "untouchable"; any politician or public official who dares to broach the subject will invariably suffer politically.

3. WORD BANK

• Primum non nocere: "first, do no harm." 

• Whack away: to continue striking heavy blows

• Proverbial: famous• Autologous : derived from the same individual 

• Torpedo: undermine, destroy • Last-chance treatment• Pitched: agitated

4. THEMATIC ANALYSIS (1)BRAIN-STORMING

What’s wrong with the concept of ethics of rationing?

(before reading)@P2 two consideration for rationing—finite recourse and avoidance of unfair rationing methods

4. THEMATIC ANALYSIS (1) THE CONCEPT OF ETHICS OF

RATIONING?

• @3 the physician have an absolute duty of fidelity

• @3 the quasi-objective measures such as quality-adjusted life years

• @4 the cost of deliberate fraud not the main problem

• @5 the interventions do not benefit the patients

4. THEMATIC ANALYSIS (2)THE CONCERN SHIFTS TO

WASTE AVOIDANCE

•What are the considerations for the problem of waste avoidance?

@P6 redirecting even a fraction of that wasted money could expand coverage for useful therapy to all Americans…

4. THEMATIC ANALYSIS (2)THE CONCERN SHIFTS TO

WASTE AVOIDANCE• @P7 medical futility• @p8 we should not deprive any patient of useful medical services

• @p8 useless tests and treatments cause harm

• @p9 the boundary between wise and wasteful application will often be fuzzy.

• @p10 stepwise strategy/ evidence-based medicine

•

CONCLUSION@P11 AND @P12

• @P11 the ethics of rationing and of waste avoidance are complementary, not competing.

• @P12 An ethical mandate to prioritize waste avoidance doesn’t address the political hurdles.

HOMEWORK

Complete the weekly journal. Complete the weekly journal. Prepare the three-minute Prepare the three-minute speech.speech.